Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Daniel Ettedgui, DO PA

Organization Physical Medicine & Rehabilitation Physician · NPI 1265516611

Daniel Ettedgui, DO PA is a Physical Medicine & Rehabilitation Physician in Boca Raton, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1905 Clint Moore Rd Ste 308
Boca Raton, FL 33496-2658
Phone: (561) 912-9580
Fax: (561) 912-9506
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence OS-6221 (FL)
Pain Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081P2900X · Licence OS6221 (FL)

Record details

NPI number1265516611
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Flori McGinty — Practice Administrator · (561) 912-9580
Other names Physical Medicine Of South Florida
NPI enumeratedOctober 24, 2006
Last updated in NPPESApril 13, 2012
Mailing address1905 Clint Moore Road, Suite 308, Boca Raton, FL 33496

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